NPI Code Detail JSON Logo

1215826516 NPI number — MEDICAL SERVICES OF CONNECTICUT PLLC

NPI Number: 1215826516
Health Care Provider/Practitioner: MEDICAL SERVICES OF CONNECTICUT PLLC

Information about “1215826516” NPI (MEDICAL SERVICES OF CONNECTICUT PLLC) exists in 1215826516 in HTML format HTML  |  1215826516 in plain Text format TXT  |  1215826516 in PDF (Portable Document Format) PDF  |  1215826516 in an XML format XML  formats.

NPI Number : 1215826516 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215826516",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MEDICAL SERVICES OF CONNECTICUT PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "290 MADISON AVE FL 2",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW YORK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10017-6375",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "305-962-5239",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2080 WHITNEY AVE STE 250",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HAMDEN",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06518-3606",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "516-421-7230",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/01/2025",
    "LastUpdateDate": "09/08/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "NGUYEN",
    "AuthorizedOfficialFirstName": "MICHAEL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "305-962-5239",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "174400000X",
        "TaxonomyName": "Specialist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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